Delegation of Parental Powers - Arizona

Arizona · Fillable PDF · Free

Parents use this form to let a grandparent, relative or trusted adult care for their child while they are away, such as consenting to medical care, handling school matters or traveling with the child. In Arizona the delegation can last no more than six months. Parents use this form to let a grandparent, relative or trusted adult care for their child while they are away, such as consenting to medical care, handling school matters or traveling with the child.

Serving Arizona. Appointments require an Arizona-commissioned notary.

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Who this form is for

  • Parents use this form to let a grandparent, relative or trusted adult care for their child while they are away, such as consenting to medical care, handling school matters or traveling with the child. In Arizona the delegation can last no more than six months.

What you'll need

  • The original Delegation of Parental Powers - Arizona packet and its instructions.
  • Names, dates and supporting records identified in this packet.
  • Acceptable identification for any notarial act; arrange qualified witnesses when required.

How to complete it

  1. List parents, children and the caregiver (Parts 1–3) Use full legal names and dates of birth.
  2. Check the powers you delegate (Part 4) Schools and doctors look for the specific box.
  3. Set the dates (Part 5) The end date must be within six months of the start date.
  4. Sign before a notary and one witness Bring a current photo ID. Both parents should sign if possible. We can bring a witness.

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These forms are a free convenience, not legal advice. First Choice Mobile Notary & Apostille is not a law firm. Consult an attorney licensed in the relevant state for legal questions.

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